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07-1112 (ELEC)2PCity of La Quinita Building a Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico f 1 Z La Quinta, CA 92253 - (760) 777-7012 © Building Permit Application and Tracking Sheet Project Address• / d Owner's Name: 4 D S A P. Number. 1�,' ♦ �F eh �? Address �i `f ,� %� % 1 Legal Description: City, ST, Zip: Lk, Contractor: " h Telephone: Address: S ? _ Project Description- �. << �/�_ , y/ L City, ST, Zip:7 kdd phone: - 1 �/ , j Lic. #': City Lic. #• •, Engr, �1nerC % t/�!f' � . ress: City, Sr, Zip: Telephone: \ Coact-4Won Type: Oooupancy: State Lic. #: M - Pmjecttype (circle one): Nevi Add'n Alt Repw Demo Name of Contact Person: �` j��u j Sq. Ft : / fj� # Storios: #Units: Telephone # of Contact Person: - ,� d Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal RWd Reed TRACIMG PERMIT FEES Plan Sets Plan Cheek submitted !L p .Item Amount Structural Cales. Reviewed, ready for corrections Plan check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Gla. Plans oicked.up f i 'Z ; Construetiosi Flood plain plan Plans resubmitted (� Mechanical Grading.plan V Review, ready for eorrectionstissue Electrical Subcodtac tor Llst Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''� Review, ready for corrections/issue Developer Impact Pee Planning Approval Called Contact Person A.I.P.P. rob. Wks. Appr Date of permit issue School Fees Total Permit Fees i S' Zt OF �''� '�.s� a��� o � - �' - �� LA - �l 11� EA%lie. �iY1T�1� �OU.�C' CJSin4 Min. � �� C«1Ct.2 QbM¢aC _ �� bow • }�K 1�oua�. vsT.•4 P- �-i o� Me}41 �o�e� 'IV e -w S -Z lvm> In_ k, fclei In b2.- -FEL. i•Vhe S I WI -44, acr , f- tiA:N 4A •- 2y C"fop -, ptxkvr, bt PFL 'fU_I2i r�c of Yn"A Cai�� . CJimv, pr er N_ECy a.,d T; k1, 9-4 S � 11 CC:i� ii n� FG.. � W � I I %2 �.(�l_V_4�-� V W is� :►� ��.��_.t��% LL�GG)_M !1+ $ C N c Co I II C Pixf,)M5 �-o lzx- o Wi�'� `94P- PG MQ ton %CASOC w t 4CC _ ,� - !U_L a -J +i �-1t ::y la," 5TCL4.5 SGa..c._ CL� goah►4L- 1oCg.�On G��1Q �t�.►.ti r 2.00 $;„��� per. � j ZZ /2v S RECORDING REOUESTED Rr _.. An tnE1-IECOADEI SAR TMII IM ASI ISLESS STWIN181 ta10 . "LR NAIL TAE ITATERM I& Ivest NMN r �1►.a d �-� ®h uIT. 1-a. Ct�l r,...>�a G�., . 5'�z�3 - Z duce. �.... _ . ,r.....:.......: J_.. 71111 MAIL TAI STATEMENTS TO/ mama rJ �M .SCc( •F �' `, ,,�L1 s< Add?*" Sri va d� aY i q , AP i raj 2 irhE oA1O ae ElttolE a1 I SPACE ABOVE THIS UNE FOR RECORDERS USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $ p computed on full value. of property conveyed, or O computed on full value less value of liens or encumbranpes remaining at time of sale. O unincorporated area city of AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ]�onQlol �¢rsn ��oc%s; ted/ S'�a� I at�rT�.z �C,�csa�4s I 6u.al ac LcI+ rt- -t-A hereby GRANT(s) to R. hf /� +d �/ t t c►+y f .� ��YI !1 Q. oe s the following described real property in the County of State of California: Date STATE OF CALIFORNIA SS. COUNTY OF On this day of in the yeaT before me, the undersigned, a Notary Public in and for said State, personally r appeared O personally known to me 0 proved to me an the basis of satisfactory evidence 1. to be.lhe person whose name b subscribed to this instrument, and acknowl• edged to me that he (shaor they) executed IL Rlanature